Individual ProviderRiley KlineSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4660 South Eastern Avenue # 201a, Las Vegas, NV 89119(702) 451-7542(702) 203-6878PECOS EnrollmentBased on the most recent information from CMS, provider Riley Kline is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1093886426Provider TypeIndividualFull NameKline, RileyTitleMr.CredentialLCSWGenderMaleSole ProprietorNoEnumeration Date11/9/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address4660 South Eastern Avenue # 201a, Las Vegas, NV 89119Phone(702) 451-7542Fax(702) 450-4239Mailing LocationMailing Address4350 Ivory Jade Ave, North Las Vegas, NV 89031Phone(702) 203-6878Fax(702) 450-4239Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense4896-CNevada